Geralyn Michele Ponzio, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07671800 Issued in NJ

Practice address

127 Pine St
Montclair, NJ 07042-4855

Phone

(973) 783-0073

Fax

(973) 783-4010

NPI assigned

Nov 18, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal MedicineAlso: Hospice/Palliative Care

Education

University of Vermont College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Premier Health Associates LLCGroup PAC ID 0840283008, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Healthcare of NE PA, LLC Home health agency, Moosic, PA, CCN 397726
• Personal Home Healthcare and Hospice Home health agency, Blakely, PA, CCN 398192
• Revolutionary Home Health Inc Home health agency, Eynon, PA, CCN 398034
• Traditional Home Health Care Home health agency, Dunmore, PA, CCN 397774
• Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
• Karen Ann Quinlan Hospice Hospice, Milford, PA, CCN 391704
• Residential Healthcare of NE PA, LLC Hospice, Moosic, PA, CCN 391572
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
• Newton Medical Center Hospital, Newton, NJ, CCN 310028
• Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
• Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
• Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: geralynponzio@premiernj.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/EDJHBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Practice Associates Medical Group

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1427016385

  Internal Medicine, NJ

  Medicare reassignment Care Compare group NPD
• Premier Health Associates LLC

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1043257991

  Internal Medicine, NJ, PA

  Medicare reassignment Care Compare group NPD
• Premier Health Associates, LLC

  • Clinic/Center
  • Sparta, NJ
  • NPI 1881882785
  NPD
• Ipc Hospitalist Physicians of New Jersey PC

  • Internal Medicine Physician
  • Vineland, NJ
  • NPI 1013141423

  Internal Medicine

  NPD (past)
• Ipc Hospitalist Physicians of New Jersey PC

  • Internal Medicine Physician
  • Morristown, NJ
  • NPI 1639303159

  Internal Medicine

  NPD (past)
• The Northwest New Jersey Medical-Surgical Alliance P C

  • Orthopaedic Surgery Physician
  • Newton, NJ
  • NPI 1184807604
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahs Hospital Corp

  • General Acute Care Hospital
  • Newton, NJ
  • NPI 1790789212

  Hospital

  Care Compare affiliation
• Ahs Hospital Corp.

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776

  Hospital

  Care Compare affiliation
• Ahs Hospital Corp.

  • Home Health Agency
  • Morristown, NJ
  • NPI 1962479667
  Care Compare affiliation
• Karen Ann Quinlan Memorial Foundation

  • Community Based Hospice Care Agency
  • Newton, NJ
  • NPI 1285631234

  Hospice

  Care Compare affiliation
• Bon Secours Community Hospital

  • General Acute Care Hospital
  • Port Jervis, NY
  • NPI 1659360709

  Hospital

  Care Compare affiliation
• Garnet Health Medical Center

  • General Acute Care Hospital
  • Middletown, NY
  • NPI 1609875772

  Hospital

  Care Compare affiliation
• Residential Healthcare of NE PA, LLC

  • Home Health Agency
  • Moosic, PA
  • NPI 1215238548
  Care Compare affiliation
• Residential Healthcare of NE PA, LLC

  • Community Based Hospice Care Agency
  • Moosic, PA
  • NPI 1487955290

  Hospice

  Care Compare affiliation
• Revolutionary Home Health, Inc.

  • Home Health Agency
  • Eynon, PA
  • NPI 1457359747
  Care Compare affiliation
• Signal PA Home Health, LLC

  • Home Health Agency
  • Blakely, PA
  • NPI 1033682364
  Care Compare affiliation
• Traditional Home Health and Hospice LLC

  • Home Health Agency
  • Dunmore, PA
  • NPI 1023010329
  Care Compare affiliation
• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1124026182

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1962484501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PINE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424855",
            "telephone_number": "973-783-0073",
            "fax_number": "973-783-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PINE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424855",
            "telephone_number": "973-783-0073",
            "fax_number": "973-783-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONZIO",
        "first_name": "GERALYN",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07671800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049883",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Metropolitan NJ
• Elizabeth Patricia Pleickhardt, DO
• Plover Inpatient Services LLC
• Pmhnp Wellness Solutions LLC
• Ponzio Medical Associates
• Matthew Rocco Ponzio, MD
• Jamel Porter
• Positive Change Counseling LLC
• Joella Pounds, ATC
• Richard L Pounds, LCSW

• All providers in Montclair, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.